Jeremiah Lloyd Johnson, MA | |
2686 Spring St, Redwood City, CA 94063-3522 | |
(650) 368-9989 | |
Not Available |
Full Name | Jeremiah Lloyd Johnson |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 10 Years |
Location | 2686 Spring St, Redwood City, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558670059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | TE61190395 (Washington) | Primary |
103TC0700X | Psychologist - Clinical | PSY28490 (California) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Jeremiah Lloyd Johnson, MA 322 W North River Dr, Spokane, WA 99201-3208 Ph: (509) 324-6464 | Jeremiah Lloyd Johnson, MA 2686 Spring St, Redwood City, CA 94063-3522 Ph: (650) 368-9989 |
Dr. Christina Ka-yi Lam, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1400 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-6099 | |
Dr. John Thomas Peters, PHD Psychologist Medicare: Medicare Enrolled Practice Location: Kaiser Permanente - Psychiatry Dept., 1150 Veterans Blvd., Redwood City, CA 94063 Phone: 650-299-4749 | |
Dr. Janice Marie Schreckengost, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 611 Veterans Blvd, Suite 114, Redwood City, CA 94063 Phone: 650-430-4763 | |
Miss Tania Isabel Texidor, PSY. D Psychologist Medicare: Medicare Enrolled Practice Location: 1400 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-6024 | |
Dr. Royce B. Garvin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1690 Woodside Rd Ste 211, Redwood City, CA 94061 Phone: 650-368-0210 | |
Taylor Dichsen, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1779 Woodside Rd Ste 200, Redwood City, CA 94061 Phone: 650-424-0852 Fax: 650-424-9853 | |
Simone Heron-carmignani, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2710 Middlefield Rd, Redwood City, CA 94063 Phone: 707-483-7046 |